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[null,"Workshop Reimbursment Request Form"]
[]
["Name:"]
["Street Address:"]
["City, State, Zip"]
["Email:"]
["Phone:"]
["Date:"]
["Travel Purpose:","InTeGrate Travel Expenses"]
[]
[]
["Date ","Description of Expense","Cost"]
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[null,"TOTAL  Reimbursment Request: ",0]
[]
["Carleton College will reimburse travelers within 4 weeks of receiving a completed reimbursement packet.  A complete reimbursement packet consist of the following items: \n• A completed “Workshop Reimbursement Request Form”\n• An original receipt or invoice for all reimbursable expense items,\n• A completed IRS W-9 form\n"]
["Mail your expense reimbursment packet to:\n  Carleton College B-SERC\n  One North College Street\n  Northfield, MN  55057\n  attn:  K. Herbstrith"]

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